Peter C Jong, MD | |
441 N Lakeview Ave, Anaheim, CA 92807-3028 | |
(888) 988-2800 | |
Not Available |
Full Name | Peter C Jong |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 441 N Lakeview Ave, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528135415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A55945 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Peter C Jong, MD 441 N Lakeview Ave, Anaheim, CA 92807-3028 Ph: (888) 988-2800 | Peter C Jong, MD 441 N Lakeview Ave, Anaheim, CA 92807-3028 Ph: (888) 988-2800 |
Ms. Bich Ngoc Dang, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3033 W Orange Ave, Anaheim, CA 92804 Phone: 714-827-3000 Fax: 949-588-2199 | |
Ernesto P Gidaya, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1111 W La Palma Ave, Anaheim, CA 92801 Phone: 714-774-1450 Fax: 714-710-7741 | |
Roxanne S. Tagayun, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Donny Chung, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Nhat D. Le, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Dorothy M Toung, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
D Lalani Perera-thangaratnam, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1111 W La Palma Ave, Anaheim, CA 92801 Phone: 714-774-1450 |